Mr Bradley Robert Nelson, MALP in Grand Rapids, MN

Mr Bradley Robert Nelson, MALP is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in Grand Rapids, Minnesota. His current practice location is 215 Se 2nd Ave, Grand Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 326-1274.

Mr Bradley Robert Nelson is licensed to practice in Minnesota (license number LP0590) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902822919.

Contact Information

	Mr Bradley Robert Nelson, MALP
	215 Se 2nd Ave, Grand Rapids, MN 55744-3615
	(218) 326-1274
	(218) 326-9787

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Bradley Robert Nelson
Gender	Male
Speciality	Psychologist - Cognitive & Behavioral
Location	215 Se 2nd Ave, Grand Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902822919
Provider Enumeration Date: 07/14/2006
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 2668994922
Enrollment ID: I20250317002628

Medical Identifiers

Medical identifiers for Mr Bradley Robert Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902822919	NPI	-	NPPES
6275968	Other	MN	MEDICA
160767	Other	MN	UCARE
3032501	Other	MN	PREFERRED ONE
97026	Other	MN	HEALTH PARTNERS
121052100	Medicaid	MN
4K585NE	Other	MN	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	(* (Not Available))	Secondary
103TB0200X	Psychologist - Cognitive & Behavioral	LP0590 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Bradley Robert Nelson allows following entities to bill medicare on his behalf.

Entity Name	Northland Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164610986 PECOS PAC ID: 1153389242 Enrollment ID: O20041221000396

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bradley Robert Nelson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Bradley Robert Nelson, MALP 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 Ph: (218) 326-1274	Mr Bradley Robert Nelson, MALP 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 Ph: (218) 326-1274

Reviews and Comments

Psychologist in Grand Rapids, MN

Cathleen Bengtson, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 215 Se 2nd Ave, Grand Rapids, MN 55744 Phone: 218-326-1274
Avrielle Jewel Schneider, LADC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1215 Se 7th Ave, Grand Rapids, MN 55744 Phone: 218-327-1105 Fax: 218-327-1932
Dr. William Walter Larsen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 525 Itasca St, Grand Rapids, MN 55744 Phone: 218-327-2295 Fax: 218-327-2295
Patricia Cortese, LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35382 Us Highway 2, Grand Rapids, MN 55744 Phone: 218-327-4886 Fax: 218-327-4848
Dr. Justin Gambill, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35382 Us Highway 2, Grand Rapids, MN 55744 Phone: 218-327-4886
Carolyn Grieve, LPMED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2618 Emerald Dr, Grand Rapids, MN 55744 Phone: 218-327-9013 Fax: 218-327-9013
Donald Farnsworth, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 215 Se 2nd Ave, Grand Rapids, MN 55744 Phone: 218-327-1274

Mr Bradley Robert Nelson, MALP - Medicare Psychologist in Grand Rapids, MN